Petty, William Mccandless
Petty, William Mccandless is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Petty, William Mccandless can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston-Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 2006-00960 | North Carolina |
Profile Details
| NPI number | 1841345501 |
|---|---|
| LBN Legal business name | Petty, William Mccandless |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Aug 18th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841345501 | NPPES |
| North Carolina | MEDICAID | 5905804 | |
| North Carolina | Other | 806776 | |
| North Carolina | Other | P00416726 | |
| North Carolina | Other | 212133 | |
| North Carolina | MEDICAID | Q0059L | |
| North Carolina | MEDICAID | 10186579 | |
| North Carolina | Other | 140AP | |
| North Carolina | MEDICAID | 3810002778 | |
| North Carolina | Other | 7391773 |
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